The Effect of Moringa-Chayote Decoction on Breast Milk Production and Infant Weight Gain

Pengaruh Rebusan Daun Kelor dan Labu Siam terhadap Produksi ASI dan Kenaikan Berat Badan Bayi

https://doi.org/10.33860/njb.v5i2.4375

Authors

  • Asni Annisa Siregar Midwifery Department, Poltekkes Kemenkes Ternate, North Maluku, Indonesia
  • Rasmin Hi Abdul Mutalib Midwifery Department, Poltekkes Kemenkes Ternate, North Maluku, Indonesia

Keywords:

Breast milk production, Breastfeeding mothers, Chayote, Galactagogue, Moringa leaf

Abstract

Background: Perceived or actual low milk production can undermine continued breastfeeding. Moringa is widely used as a food-based galactagogue, whereas direct evidence for chayote and for a combined preparation remains limited. This study examined the association of a moringa leaf–chayote decoction with expressed breast milk volume and infant weight gain.

Methods: A quasi-experimental pretest–posttest control-group study was conducted among 14 breastfeeding mothers at the Kalumata Community Health Center, Ternate City. Participants were assigned to an intervention group (n = 7), which consumed 250 g of boiled moringa leaves and chayote, or a control group (n = 7), which received no intervention. Breast milk volume and infant weight were measured at baseline and every seven days over 30 days. Changes between the two groups were analyzed using an independent-samples t-test.

Results: The intervention group showed a more favorable distribution of change in expressed breast milk volume. Three mothers (42.9%) had an increase greater than 40 mL, whereas six mothers (85.7%) in the control group had increases of 20 mL or less. The originally reported between-group difference was statistically significant (p=0.001). Infant weight gain was also more favorable in the intervention group (p=0.006). Participant-level continuous records were unavailable for additional analysis; therefore, means, standard deviations, confidence intervals, test statistics, and effect sizes could not be calculated.

Conclusion: Within this small, non-randomized sample, consumption of the combined moringa leaf and chayote preparation was associated with greater reported increases in expressed breast milk volume and infant weight. These findings should be regarded as preliminary and require confirmation in adequately powered randomized studies with standardized intervention and outcome-measurement procedures.

References

Ammar, M., Russo, G. L., Altamimi, A., Altamimi, M., Sabbah, M., Al-Asmar, A., & Di Monaco, R. (2025). Moringa oleifera Supplementation as a Natural Galactagogue: A Systematic Review on Its Role in Supporting Milk Volume and Prolactin Levels. Foods, 14(14), 1–14. https://doi.org/10.3390/foods14142487

Baier, K. E., Berg, A., Smith, A., Evans, J., Rogner, J., Murad, M. H., … Imdad, A. (2025). The Impact of Donating Human Milk on the Health of the Donor and Their Infant: Evidence from Two Systematic Reviews. Advances in Nutrition, 17(2), 100581. https://doi.org/10.1016/j.advnut.2025.100581

Ballard, O., & Morrow, A. L. (2013). Human milk composition: nutrients and bioactive factors. Pediatric Clinics of North America, 60(1), 49–74. https://doi.org/10.1016/J.PCL.2012.10.002

Bazzano, A. N., Hofer, R., Thibeau, S., Gillispie, V., Jacobs, M., & Theall, K. P. (2016). A review of herbal and pharmaceutical galactagogues for breast-feeding. The Ochsner Journal, 16(4), 511–524.

Boss, M., Gardner, H., & Hartmann, P. E. (2018). Normal human lactation: Closing the gap. F1000Research, 7, 801. https://doi.org/10.12688/f1000research.14452.1

Brodribb, W., & Academy of Breastfeeding Medicine. (2018). ABM Clinical Protocol #9: Use of galactogogues in initiating or augmenting maternal milk production, second revision 2018. Breastfeeding Medicine, 13(5), 307–314. https://doi.org/10.1089/bfm.2018.29092.wjb

Capili, B., & Anastasi, J. K. (2024). An Introduction to Types of Quasi-Experimental Designs. American Journal of Nursing, 124(11), 50–52. https://doi.org/10.1097/01.NAJ.0001081740.74815.20

Divya, S., Pandey, V. K., Dixit, R., Rustagi, S., Suthar, T., Atuahene, D., … Shaikh, A. M. (2024). Exploring the phytochemical, pharmacological and nutritional properties of {Moringa oleifera}: A comprehensive review. Nutrients, 16(19), 3423. https://doi.org/10.3390/nu16193423

Dror, D. K., & Allen, L. H. (2018). Overview of nutrients in human milk. Advances in Nutrition, 9(Suppl. 1), 278S--294S. https://doi.org/10.1093/advances/nmy022

Foong, S. C., Tan, M. L., Foong, W. C., Marasco, L. A., Ho, J. J., & Ong, J. H. (2020). Oral galactagogues (natural therapies or drugs) for increasing breast milk production in mothers of non-hospitalised term infants. The Cochrane Database of Systematic Reviews, 5(5). https://doi.org/10.1002/14651858.CD011505.PUB2

Fungtammasan, S., & Phupong, V. (2021). The effect of Moringa oleifera capsule in increasing breastmilk volume in early postpartum patients: A double-blind, randomized controlled trial. PLoS ONE, 16(4 April), 1–7. https://doi.org/10.1371/journal.pone.0248950

Giugliani, E. R. J., Horta, B. L., de Mola, C., Lisboa, B. O., & Victora, C. G. (2015). Effect of breastfeeding promotion interventions on child growth: A systematic review and meta-analysis. Acta Paediatrica, 104(S467), 20–29. https://doi.org/10.1111/apa.13160

Horta, B. L. (2019). Breastfeeding: Investing in the Future. Breastfeeding Medicine, 14(S1), S-11-S-12. https://doi.org/10.1089/bfm.2019.0032

Idris, H., & Astari, D. W. (2023). The practice of exclusive breastfeeding by region in Indonesia. Public Health, 217, 181–189. https://doi.org/10.1016/j.puhe.2023.02.002

Iniguez-Luna, M. I., Cadena-Iniguez, J., Soto-Hernandez, R. M., Morales-Flores, F. J., Cortes-Cruz, M., & Watanabe, K. N. (2021). Natural bioactive compounds of Sechium spp. for therapeutic and nutraceutical supplements. Frontiers in Plant Science, 12, 772389. https://doi.org/10.3389/fpls.2021.772389

Millinga, V. P., Im, H. B., Hwang, J. H., Choi, S. J., & Han, D. (2022). Use of herbal medicines among breastfeeding mothers in Tanzania: A cross-sectional study. Frontiers in Pharmacology, 13, 751129. https://doi.org/10.3389/fphar.2022.751129

Pang, W. W., & Hartmann, P. E. (2007). Initiation of human lactation: Secretory differentiation and secretory activation. Journal of Mammary Gland Biology and Neoplasia, 12(4), 211–221. https://doi.org/10.1007/s10911-007-9054-4

Pareek, A., Pant, M., Gupta, M. M., Kashania, P., Ratan, Y., Jain, V., … Chuturgoon, A. A. (2023). {Moringa oleifera}: An updated comprehensive review of its pharmacological activities, ethnomedicinal, phytopharmaceutical formulation, clinical, phytochemical, and toxicological aspects. International Journal of Molecular Sciences, 24(3), 2098. https://doi.org/10.3390/ijms24032098

Perez-Escamilla, R., Tomori, C., Hernandez-Cordero, S., Baker, P., Barros, A. J. D., Begin, F., … Richter, L. (2023). Breastfeeding: Crucially important, but increasingly challenged in a market-driven world. The Lancet, 401(10375), 472–485. https://doi.org/10.1016/S0140-6736(22)01932-8

Rollins, N. C., Bhandari, N., Hajeebhoy, N., Horton, S., Lutter, C. K., Martines, J. C., … Victora, C. G. (2016). Why invest, and what it will take to improve breastfeeding practices? The Lancet, 387(10017), 491–504. https://doi.org/10.1016/S0140-6736(15)01044-2

Sibeko, L., & Johns, T. (2021). Global survey of medicinal plants during lactation and postpartum recovery: Evolutionary perspectives and contemporary health implications. Journal of Ethnopharmacology, 270, 113812. https://doi.org/10.1016/J.JEP.2021.113812

Syahri, I. M., Laksono, A. D., Fitria, M., Rohmah, N., Masruroh, M., & Ipa, M. (2024). Exclusive breastfeeding among Indonesian working mothers: Does early initiation of breastfeeding matter? BMC Public Health, 24, 1225. https://doi.org/10.1186/s12889-024-18619-2

Szyller, H., Antosz, K., Batko, J., Mytych, A., Dziedziak, M., Wrześniewska, M., … Pytrus, T. (2024). Bioactive components of human milk and their impact on child’s health and development: Literature review. Nutrients, 16(10), 1487. https://doi.org/10.3390/nu16101487

UNICEF. (2023). Global breastfeeding scorecard 2023.

UNICEF, & World Health Organization. (2025). Breastfeeding in Indonesia on the rise, but mothers need more support.

Victora, C. G., Bahl, R., Barros, A. J. D., Franca, G. V. A., Horton, S., Krasevec, J., … Rollins, N. C. (2016). Breastfeeding in the 21st century: Epidemiology, mechanisms, and lifelong effect. The Lancet, 387(10017), 475–490. https://doi.org/10.1016/S0140-6736(15)01024-7

Vieira, E. F., Pinho, O., Ferreira, I. M. P. L. V. O., & Delerue-Matos, C. (2019). Chayote (Sechium edule): A review of nutritional composition, bioactivities and potential applications. Food Chemistry, 275, 557–568. https://doi.org/10.1016/j.foodchem.2018.09.146

World Health Organization. (2023). Infant and young child feeding.

Yang, M., Tao, L., & Kang, X. R. (2023). {Moringa oleifera} Lam. leaves as new raw food material: A review of its nutritional composition, functional properties, and comprehensive application. Trends in Food Science & Technology, 138, 394–411. https://doi.org/10.1016/j.tifs.2023.05.013

Yasin, Z., Nawawi, A., Wibowo, A., Nadhiroh, S. R., & Devy, S. R. (2024). Effects of Moringa oleifera on increasing breast milk in breastfeeding mothers with stunting toddlers in rural Batang-Batang District, Indonesia. African Journal of Reproductive Health, 28(10s), 34. https://doi.org/10.29063/ajrh2024/v28i10s.4

Published

2026-08-04

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